UNIVERSITY PHYSICIANS GROUP P C NPI 1104872134

NPI Information

NPI: 1104872134
Provider Name: UNIVERSITY PHYSICIANS GROUP P C
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
65 ROSE AVE
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 226-1012
Get Directions

UNIVERSITY PHYSICIANS GROUP P C is a general practice in Staten Island, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee UNIVERSITY PHYSICIANS GROUP P C NPI is 1104872134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

65 ROSE AVE
STATEN ISLAND, NY
ZIP 10306-246
Phone: (718) 226-1012
Fax: (718) 226-1040

The provider's authorized official is Albert Esposito .
The authorized official title is Executive Director and has the following contact phone number (718) 226-1036.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 9/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207K00000X	Allergy & Immunology		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207RG0300X	Internal Medicine	Geriatric Medicine	No
7	207RR0500X	Internal Medicine	Rheumatology	No
8	207V00000X	Obstetrics & Gynecology		No
9	208000000X	Pediatrics		No
10	2080P0210X	Pediatrics	Pediatric Nephrology	No
11	2080P0214X	Pediatrics	Pediatric Pulmonology	No
12	2085N0904X	Radiology	Nuclear Radiology	No
13	2085R0204X	Radiology	Vascular & Interventional Radiology	No
14	2085U0001X	Radiology	Diagnostic Ultrasound	No
15	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01256440	MEDICAID	NEW YORK
2	W21882	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	0918980002	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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